Comparison of clinical outcomes between unilateral biportal endoscopic discectomy and percutaneous endoscopic interlaminar discectomy for migrated lumbar disc herniation at lower lumbar spine: a retrospective controlled study

作者全名："Wu, Shan; Zhong, Dian; Zhao, Guosheng; Liu, Yang; Wang, Yang"

作者地址："[Wu, Shan; Zhong, Dian; Zhao, Guosheng; Liu, Yang; Wang, Yang] Chongqing Med Univ, Affiliated Hosp 2, Dept Spine Surg, 76 Linjiang Rd, Chongqing 400010, Peoples R China"

通信作者："Wang, Y (通讯作者)，Chongqing Med Univ, Affiliated Hosp 2, Dept Spine Surg, 76 Linjiang Rd, Chongqing 400010, Peoples R China."

来源：JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001135295600016

JCR分区：Q2

影响因子：2.6

年份：2024

卷号：19

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Unilateral biportal endoscopic discectomy; Percutaneous endoscopic interlaminar discectomy; Migrated lumbar disc herniation

摘要："BackgroundBoth Unilateral Biportal Endoscopic Discectomy (UBED) and Percutaneous Endoscopic Interlaminar Discectomy (PEID) have resulted in favorable clinical outcomes in the management of LDH. The aim of this study is to comprehensively compare the efficacy of UBED and PEID in treating migrated LDH in the lower lumbar spine, with a specific focus on high-grade migrated LDH.Methods96 patients who underwent UBED (31 cases) and PEID (65 cases) procedures were enrolled in the study. All patients received a minimum follow-up period of 6 months. Clinical outcomes of the patients were assessed with incision length, operation time, total hemoglobin loss, hospital stay, intraoperative fluoroscopy times, visual analogue scale (VAS) for lower back and leg pain, Oswestry disability index (ODI), modified MacNab criteria, complications, area of lamina loss and increased intervertebral height.ResultsThe VAS scores for lower back and leg pain and ODI significantly decreased in both groups after the operation. Preoperatively, at 1 day, 1 month, and 6 months after the procedure, the VAS and ODI scores exhibited no significant differences between the two groups. There was no significant difference in terms of modified MacNab criteria, area of lamina loss, and increased intervertebral height. The UBED group had a longer incision length, operation time and postoperative hospital stay, and fewer intraoperative fluoroscopy times than to the PEID group. Complications were noted in both groups throughout the follow-up period, but there was no significant difference in the rate of complications. Moreover, there were no notable differences in clinical outcomes between the two groups in the high-grade migrated LDH.ConclusionsBoth UBED and PEID could achieve favorable clinical outcomes for treating migrated LDH at the lower lumbar spine. Despite the longer operative time and postoperative hospital stay associated with the UBED group, UBED remains safe and innovative for treating migrated LDH at the lower lumbar spine."

基金机构：Teaching reform project of The association of Higher Education of Chongqing

基金资助正文："We acknowledge the multidisciplinary team in the Second Affiliated Hospital of Chongqing Medical University, including colleagues in orthopedics, radiology and anesthesiology, for their participation in the treatment planning and implementation and the preparation of this article."